Cardiac Catheterization and Interventions, Exams of Nursing

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RCIS CCI  EXAM 2024 WITH 100% ACCURATE SOLUTIONS the urinary catheter drainage bag should be placed in which of the following positions - correct answer✔✔ below the pts bladder equipment that would be needed by the CCL nurse to start an IV access could include which of the following - correct answer✔✔ IV catheter gloves non-latex tourniquet medical tape guaze sharps container sterile pad sterile dressing bag of IV fluids which of the following would be considered a minor/other complication which can occur during a cardiac cath - correct answer✔✔ vascular injury which of the following would be considered an infection control technique that considered all blood and body fluids as being contaminated - correct answer✔✔ universal precautions ____ helps to decrease the risk of the transmission of microorganisms from both recognized and unrecognized paths - correct answer✔✔ standard precautions which of the following would be considered the normal CO - correct answer✔✔ 4-8 L/min the blood that is ejected from the LV into the aorta would be considered the persons ____ - correct answer✔✔ CO CO would be be described as which of the following - correct answer✔✔ the blood that is ejected from the LV into the aorta during the process of setting up the sterile table, it is L alone for 10 mins. which of the following statements would be considered correct regarding the use of the table for the procedure - correct answer✔✔ the sterility of the table cannot be guaranteed the measuring of press in the pts heart would be referred to as which of the following - correct answer✔✔ hemodynamics ____ would be considered pictures of the heart that were taken during the cardiac cath - correct answer✔✔ angiography all but which of the following would be considered an area that the physician would include in their role as a pt educator - correct answer✔✔ cost of the procedure what are the 4 areas which should be included in the physicians role in pt education - correct answer✔✔ 1. info that would be obtained from the procedure 2. potential treatment options 3. clear reasons for the procedure 4. potential risks and complications of the procedure all but which of the following ppl would not be included in the "time-out" process in the CCL - correct answer✔✔ physical thereapist of the following, which would be considered basic equipment on the sterile table for the cardiac cath procedure - correct answer✔✔ 1. a bowl of 1% or 2% lidocaine 3. a needle for cannulating the artery 4. a container of 500 ml of saline solution/5000 units of hep that has been added to the solution 3. a bleeding time greater than 10 mins prolonged if more that 2 hrs has elapsed following termination of cardiopulmonary bypass if a person is experiencing ventricular fibrillation, all but which of the following statements would be considered correct - correct answer✔✔ with Vfib, there is an increase in the persons CO the following statements would be considered correct regarding Vfib - correct answer✔✔ 1. Vfib is a life threatening emergency 2. with Vfib, the ventricles quiver instead of contract 3. with Vfib, there is a decrease in the persons Co 4. with Vfib, defibrillation would be needed immediately to attempt to resolve it when preparing for ventriculography, what would be considered the most important step of the setup for the staff - correct answer✔✔ to make certain that all the air and bubbles are cleared from the transparent pressure injection syringe and tubing a high RV EDP might be see with all of the following conditions except - correct answer✔✔ kidney failure a high RV EDP would be seen with all of the following conditions - correct answer✔✔ cardiac tamponade restrictive myocardial disease endocardial fibrosis pulmonic valve insufficiency constrictive pericarditis the normal HR for a child age 1-8 would be considered which of the following - correct answer✔✔ 80- 100 bpm _____ would be the normal HR for ages 1-28 days - correct answer✔✔ 120-160 bpm _____ would be the normal HR for an adult - correct answer✔✔ 60-100 bpm _____ would be the normal HR for age 1-12 months - correct answer✔✔ 100-120 according to the society for cardiac angiography and interventions, an acceptable intervention that could be used for urticaria with an anaphylactic reaction in the CCL would be considered which of the following - correct answer✔✔ diphenhydramine 25-50 mg IV the human heart is typically the size of which of the following - correct answer✔✔ clenched fist where is the heart located - correct answer✔✔ behind the sternum and slightly to the L the acceptable range for the ACT before it is considered safe for the team in the CCL to proceed with a procedure would be considered - correct answer✔✔ 250-350 secs RAD stands for which of the following - correct answer✔✔ radiation absorbed dose all but which of the following would be considered a major vascular complication in the CCL - correct answer✔✔ cerebral bleed some of the major vascular complications would include - correct answer✔✔ local obstructions from flaps dissection thrombosis subintimal hemorrhage of the following which would be considered a vasodilator that can be used in a radial art cath to help minimize vessel spasm - correct answer✔✔ papaverine verapamil adenosine diltiazem a single, large dose of a medication would be considered a ____ - correct answer✔✔ bolus stenosis in the AO valve can cause which of the following problems - correct answer✔✔ an increased press overload on the LV causing a reduction in CO and pulmonary congestion when converting pounds to kg, which of the following would be correct for converting 298 lbs to kg - correct answer✔✔ 298 divided by 2.2 = 135.45 kg ACT is a mnemonic for - correct answer✔✔ activated clotting time when placing a transcutaneous pacer on a pt, the electrodes are placed on the chest and the pacer is turned on. which of the following should be considered the next step - correct answer✔✔ set the demand rate to approx 60/min (then set the current mA output to 2 mA above the dose at which there is consistent capture) the main pumping chamber of the heart would be considered the _____ - correct answer✔✔ LV ischemia in the absence of a MI would be characterized by which of the following - correct answer✔✔ symmetrical changes in the T wave of the following which should the CCL nurse check if the pts EKG suddenly goes flat - correct answer✔✔ check the pt check the press curve on the monitor a high pulmonary art press could be seen with all of the following conditions except - correct answer✔✔ constrictive pericarditis high pulmonary art press could be seen in which conditions - correct answer✔✔ LV failure mitral valve stenosis pulmonary emboli chronic obstructive pulm disease which of the types of IVUS catheter based ultrasound images require only minimal pre involving only one step - correct answer✔✔ electronic multi-element phased array transducers the mnemonic IVUS would be considered - correct answer✔✔ intravascular ultrasound which of the following should be done prior to removing the percutaneous vascular sheaths from the cardiac cath pt - correct answer✔✔ 1. assess the dorsalis pedis and post tibial pulses of the pt 2. assess the insertion sites for any existing hematomas when positioning a pediatric pt for a cardiac cath which of the following statements are correct - correct answer✔✔ 1. the pts elbows should be flexed at a 90 degree angle 2. the pts hands should be positioned near the ears 3. the elbows should be passed and internally rotated toward their midline 4. soft restraints on the pts writs and ankles to be released as soon as the procedure is over the press guide wire units for the FFR consists of - correct answer✔✔ connections a monitor a guide wire high RV EDP would be seen in which conditions - correct answer✔✔ cardiac tamponade pulmonic valve insufficiency restrictive myocardial disease endocardial fibrosis constrictive pericarditis the 2 lengths of guide wires which are used for a PVI procedure would include - correct answer✔✔ 300 cm 145 cm which of the following can be triggered by a foreign body (stent) in a persons blood vessel - correct answer✔✔ neointimal hyperplasia if a cardiac pt has an ICD which of the following would be considered the typical shock energy of the device - correct answer✔✔ 0.1-41 J which of the following would be considered the most important step for the staff to take when setting up for a ventriculography - correct answer✔✔ to ensure that all the air and air bubbles are cleared from the transparent press injection syringe and tubings of the following which might be considered a potential complication after an ICD - correct answer✔✔ infection blood loss hematoma air embolism cardiac tamponade stroke vein thrombosis MI of the 4 main methods of performing temp pacing, which would be considered an ideal choice for treatment of the emergency pt - correct answer✔✔ external transcutaneous pacing ____ works by the delivery of a timed electrical impulse to the chest wall of the pt by the use of pacing electrode patches - correct answer✔✔ external transcutaneous pacing of the following which would be considered a common complaint of the pt with chronic atherosclerotic obstructions - correct answer✔✔ exercised induced pain in the calf a unique balloon cath for the dilation of the fused mitral valve commissures would be considered - correct answer✔✔ Inoue (invented in 1982) the rotational atherectomy is considered to have a higher risk for the pt to experience a non-Q wave MI. which i=of the following could be the cause for this - correct answer✔✔ small embolic particles the surgical procedure for implantation of a pacemaker includes which of the following - correct answer✔✔ making an incision creation of a pocket to accommodate the device which of the approaches that can be used for a pericardiocentesis would decrease the likelihood of coronary and internal thoracic artery location - correct answer✔✔ subxiphoid route a ____ atherectomy uses a high-speed rotational device which is designed to pulverize plaque into minute particles - correct answer✔✔ rotational of the following which would be considered the correct dosage for the heparin that is administered once the transseptal access has been correctly obtained - correct answer✔✔ 40 U/kg IV if an air embolism is detected during the cardiac cath procedure which of the following would be considered an appropriate intervention - correct answer✔✔ fluids start 100% O2 initiateACLS if needed aspiration of any air if possible of the following which would be considered a main type of balloon catheter system which was the original balloon design - correct answer✔✔ fixed wire balloon (developed by andreas gruentzig) who developed the over the wire design - correct answer✔✔ john simpson which of the following might trigger "neointimal hyperplasia" - correct answer✔✔ a foreign body in a persons blood vessel 3. the appropriate conductive source should be available for immediate use the initial dose of amiodarone that would be administered during a cardiac cath would be considered which of the following - correct answer✔✔ 150 mg over 10 mins (followed by an infusion rate of 1 mg/min) (or 300 mg rapid IV infusion diluted in 20-30 ml of fluid) if the cardiac cath pt is experiencing urticaria, which of the following might be considered part of the potential treatment - correct answer✔✔ diphenhydramine 25-50 mg IV all of the following might be considered an intervention that would be used if the pt experiences a retroperitoneal bleed during a cardiac cath procedure - correct answer✔✔ 1. vol replacement 2. reversal of anticoagulation 3. avoid high fem art punctures 4. transfusion 5. CT scan 6. surgical consult during a cardiac cath the pt goes into Vfib. which of the following interventions would be considered correct treatment - correct answer✔✔ defibrillate the pt interventions which might potentially help prevent the development of an air embolism with the cardiac cath pt would include - correct answer✔✔ careful flushing of all connections make certain that all of the connections are tight very careful back bleeding of the lines the following complications during a cardiac cath could require a vascular surgeon consult - correct answer✔✔ a large dissection a thrombotic occlusion enlarging hematoma assessment of the post procedure cardiac cath access site would include checking for all of the following - correct answer✔✔ oozing swelling character of the site hematoma redness